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Emergency Medicine - Endocrine/Metabolic News & Articles
MDLinx.com is your one stop shop for the latest Emergency Medicine news articles and peer reviewed clinical journal articles categorized daily into various hot topics such as: Trauma, Emergency Medicine Services, Airway/Respiratory management, Toxicology and much more. Not only are we the quickest, writing summaries of every article with 24 hours of publication, but we are also your most efficient resource for up-to-the-minute literature in Emergency Medicine.
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Your Unread Messages in Emergency Medicine
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Mortality rate less in obese patients with sepsis
Articles
Latest Full Text Articles (10)161 Aspirin may do wonders by the induction of immunological self-tolerance against autoimmune atherosclerosis Medical Hypotheses, November 28, 2011 Clinical Article
162 Fatal neonatal respiratory failure in an infant with congenital hypothyroidism due to haploinsufficiency of the NKX2-1 gene: alteration of pulmonary surfactant homeostasis ADC Fetal & Neonatal Edition, November 28, 2011
163 An Unusual Case of Hypotension after Fibrinolysis Resulting from Mediastinal Hemorrhage The Journal of Emergency Medicine, November 21, 2011
164 Illness perception and knowledge with regard to prediabetes and type 2 diabetes: a pilot study of emergency department patients and staff European Journal of Emergency Medicine, November 18, 2011
165 Computerized Insulin Infusion Programs Are Safe and Effective in the Burn Intensive Care Unit Journal of Burn Care & Research, November 14, 2011
166 Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial The Lancet, November 11, 2011 Evidence Based Medicine Clinical Article
167 Double Row Anchor Fixation: A Novel Technique for a Diabetic Calanceal Insufficiency Avulsion Fracture The Journal of Foot & Ankle Surgery, November 9, 2011 Clinical Article
168 Systolic blood pressure below 110mmHg is associated with increased mortality in penetrating major trauma patients: Multicentre cohort study Resuscitation, November 7, 2011
169 Severe Hypertension Following Accidental Clonidine Overdose During the Refilling of an Implanted Intrathecal Drug Delivery System Neuromodulation: Technology at the Neural Interface, November 7, 2011 Clinical Article
170 Short-acting nifedipine and risk of stroke in elderly hypertensive patients Neurology, October 21, 2011 Clinical Article
171 Cost-effectiveness of options for the diagnosis of high blood pressure in primary care: a modelling study The Lancet, October 21, 2011
172 An intravenous insulin protocol for strict glycemic control in acute ischaemic stroke European Journal of Neurology, October 19, 2011 Clinical Article
173 Diabetes mellitus and hip fracture: A study of 5966 cases Injury, October 18, 2011
174 Agreement between Emergency Medical Services and Expert Blood Pressure Measurements The Journal of Emergency Medicine, October 12, 2011
175 Feasibility of Continuous Glucose Monitoring in Critically Ill Emergency Department Patients The Journal of Emergency Medicine, October 11, 2011
176 How Well Does Serum Bicarbonate Concentration Predict the Venous pH in Children Being Evaluated for Diabetic Ketoacidosis Pediatric Emergency Care, October 6, 2011 Clinical Article
177 Incidence and Recognition of Elevated Triage Blood Pressure in the Pediatric Emergency Department Pediatric Emergency Care, October 6, 2011
178 Jewish New Year associated with decreased point of care glucose in hospitalised patient population International Journal of Clinical Practice, October 3, 2011
179 Glycemic control in non-diabetic critically ill patients Best Practice & Research Clinical Endocrinology & Metabolism, September 30, 2011 Clinical Article
180 Vitamin D metabolism and deficiency in critical illness Best Practice & Research Clinical Endocrinology & Metabolism, September 30, 2011
Clinical Pearls in Emergency Medicine
- Appendicitis is the most common pediatric gastrointestinal surgical emergency.
- Drug-eluting stent (DES) placement improves revascularization rates without increased 3-year hazard of adverse clinical outcomes among individuals undergoing emergency primary percutaneous coronary intervention due to ST-segment elevation myocardial infarctions (STEMIs).
- Using an accelerated diagnostic protocol (ADP) with Troponin 1 as the sole biomarker may successfully identify low short-term risk of major adverse coronary event (MACE), and decrease observation time among individuals who present to the ER with chest pain.
Highlights in Emergency Medicine
Procalcitonin and CRP predict identify high-risk children with appendicitis
As published in Pediatric Emergency Care, procalcitonin and CRP levels discriminate between children admitted with a diagnosis of acute appendicitis who may require closer monitoring. The study involved 111 children who were divided into 2 groups based on intra-operative diagnoses of appendicitis (n=69) and peritonitis (n=42). Patients with peritonitis, who were more likely to have complications and require intensive care unit admission, had significantly higher procalcitonin (0.15 vs. 4.95 ng/ml) and CRP levels (3 vs. 14.3 mg/dl) on admission than patients with appendicitis. Using a cut-off procalcitonin level of 0.18 ng/ml, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 97%, 80%, 72%, and 89.3%, respectively. Using a cut-off CRP level of 3 mg/dl, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 95%, 74%, 68%, and 96.2%, respectively.
Read the article summaryVomiting during acute stroke increases mortality
As published in the Emergency Medicine Journal, patients who vomit during acute strokes have an increased risk of mortality (HR=5.06). Of 1968 stroke patients enrolled in the study, 1349 had cerebral infarctions, 459 had cerebral hemorrhages, and 152 had subarachnoid hemorrhages; 14.5% of all stroke patients vomited during the acute stage of the stroke (cerebral infarction, 8.7%; cerebral hemorrhage, 23.7%; and subarachnoid hemorrhage, 36.8%).
Read the article summaryAssociation between tight glycemic control and hip fracture in diabetics
As published in the Journal of the American Geriatrics Society, patients with T2DM (mean age, 77.3 y; n=932) with a HbA1c < 6% (OR=3.01) or 6.1-7% (OR=2.34) are more likely to sustain a hip fracture than patients with a HbA1c > 8%. All patients had a HbA1c level determined within 3 months preceding the hip fracture. No differences in risk existed between patients treated with oral hypoglycemics or insulin.
Read the article summaryMost Popular Emergency Medicine Articles
Last month's top read Top Articles of 20121 Elevated blood glucose levels in the emergency department: missed opportunities Journal of Emergency Nursing, April 1, 2013
2 Impact of Race on the Incidence of Hypoglycemia in Hospitalized Older Adults With Type 2 Diabetes Clinical Diabetes, April 18, 2013 Free full text
3 Recreational drug abuse in patients hospitalized for diabetic ketosis or diabetic ketoacidosis Acta Diabetologia, April 29, 2013 Review Article
4 Diabetes Is Not Associated With Increased Mortality in Emergency Department Patients With Sepsis Annals of Emergency Medicine, June 20, 2011
5 Comparison of the Efficacy and Safety of Two Different Insulin Infusion Protocols in the Medical Intensive Care Unit Hospital Pharmacy, March 15, 2013
6 Glucagonlike Peptide 1–Based Therapies and Risk of Hospitalization for Acute Pancreatitis in Type 2 Diabetes Mellitus: A Population-Based Matched Case-Control Study JAMA Internal Medicine, March 1, 2013 Evidence Based Medicine
7 The impact of hypoglycaemia on patients admitted to hospital with medical emergencies Diabetic Medicine, February 11, 2013
8 The high incidence of steroid-induced hyperglycaemia in hospital Diabetes Research and Clinical Practice, February 27, 2013 Review Article
9 The Stroke Hyperglycemia Insulin Network Effort (SHINE) trial protocol: a randomized, blinded, efficacy trial of standard vs. intensive hyperglycemia management in acute stroke International Journal of Stroke, April 3, 2013
10 Predicting the hyperglycemic crisis death (PHD) score: a new decision rule for emergency and critical care The American Journal of Emergency Medicine, April 23, 2013 Review Article
11 Comparison of Prasugrel and Ticagrelor Loading Doses in ST-Segment Elevation Myocardial Infarction Patients RAPID (Rapid Activity of Platelet Inhibitor Drugs) Primary PCI Study JACC - Journal of the American College of Cardiology, April 12, 2013
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
Other Topics in Emergency Medicine
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